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20 Cards in this Set
- Front
- Back
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assessment |
collecting information about the person |
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comprehensive care plan |
written guide about the care a person should receive developed by health care team |
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evaluation |
measure if goals in the planning step were met |
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goal |
it is desired for or by a person as a result of nursing care |
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implementation |
to preform or carry out nursing measures in the care plan |
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medical diagnosis |
identification of a disease or condition by a doctor |
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nursing diagnosis |
a health problem that can be treated by nursing measures |
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nursing intervention |
action or measures taken by the nursing team to help the person reach a goal |
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nursing process |
method nurses use to plan and deliver nursing care five steps *assessment *nursing diagnosis *planning *implementation *evaluation |
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objective data signs |
information that is *seen *heard *felt *smelled by observer |
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observation |
using the senses of *sight *hearing *touch *smell to collect information |
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planning |
setting priorities & goals |
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subjective data |
things a person tells you about that you cannot observe through your senses symptoms |
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subjective data symptoms |
things a person tells you about that you cannot observe through your senses symptoms |
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triggers |
clues for the care area assessments (CAAs) |
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CAA |
care area assesment |
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MDS |
minimum data set |
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MDS |
minimum data set |
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NANDA-1 |
north america nursing diagnosis association international |
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RN |
registered nurse |
